NCG020178_DMR_20210208

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year aC)a0
'Report ALL WASTEWATER monitoring data on this form (include "No FlowPNo Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH > oreac/I year.
r
�cate of Coverage No. NCG02 Qp QI Q®lity Name: Hanson -AQa cP1An}P 5 E.lI�d)f Sand Erom-P—)
nty:
Phone Number. q( 19 ) 38C -AI y ro Total no. of outfalls monitored
Certified LaboratoryBaf nc l4 cnl Soc v i c&5 tab # 0 3 . V ate1,
Lab# I
Wastewater (WW) Discharge Outfall No. OOD
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No'R
Does this outfall discharge WW to SA waters?
Yes ❑
No (�
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No
H so, what is the 7Q70 now rate? or Tidally influenced waters,
7010 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No
Were there any limit violations In the calendar year?
Yes ❑
No R
Outfall No.
Dail Flow
y
PH,
TSS,
SS,
Discharge
Upstream
Downstream
Fecal
Col'rform,
n
Rate, cis
SU
mg/I
mul
Turbidity,
(U) Turbidity,
(D) Turbidity,
col/100 ml
"'PP"ce°"°
NTU
NTU
NTU
SA
Effluent
xpy/or OMW
50%of
AMOMgr
6.0-8.0
W Isa
26/45
xownrosw
xaw, osw,
No Limit
NIA
NIA
Limitations
7Q10
°°"Weer
20130
sa,se,Pxa,
ermyTroul
art Ww
walyMWypy
wao Qa y
WA
6.8-8.5
nowormw
0.110.2
��e�m
°tn°irdi�'•
shww r oppke
MMAW/MyMe,
� NoNaw
=Tr or PIN 10/16
50/26/1O
Date Sample
Collected,
mo/dd/ r
tVIA-
N
N
to/19
m.A2
7.35
<`d.S
N/A
L.Jr
N//�
NIA--N
U
I.I
A 1.
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 g©1❑®
Additional Outfall AttachMent (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Ouffall No. Q F),_
fl
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No O
Does this outfall discharge WW to SA waters?
Yes ❑
No
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No 5
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No tz
If so what Is th 7Q—
e ow rate? or Tidally influenced waters, 7010 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No
Were there any limit violations in the calendar year reported? Yes ❑ No
Outfall No.
Daily Flow
pH,
TSS,
SS,
Discharge
Upstream
Downstream
Fecal
Coliform,
OOA
Rate, cis
SU
mg/l
mul
Turbidity,
(U) Turbidity,
(D) Turbidity,
coV100 ml
n
NTU
NTU
NTU
SA
Effluent
Limitations
Noworoaw "Mmul
60%of 6.0-9.0
�0 • n°
26/46
N0118. 1
sn.saveu,
No Limit
N/A
N/A
7010
•dt" r
6.8-8.6
20/30
"oworortw
or.mrraue
0.1/0.2
aww,rr
o..sysemew
uur.wa
w.s.au.my
&anCW*Pon
w.aroapey
61.Mea.pgas
N/A
ow.Are,o.eya...
ow
M_dTrorPM
10/15
60/26/10
Date Sample
Collected,
mo/dd! r
06 a
a9
d
14 -A
8.3
N/A
N/4
N
tZes
lip 4rt
TPFF a+ l: �
a <. ,
S
m lb
Il,
0.21
G 41 ver I
in.l I
un
.
I.
e-
I hov
-
r4
H
r
o0
Permit Date 10/1/2015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 00O®
CERTIFICATION
I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122.22]
Signature
Date A l$/apt. )
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct - Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 1011/2015 — 9/3012020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
— STORMWATER
I SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year Q0,10
'Report ALL STORMWATER monitoring data on this form (include "No Flow7No Discharge' and Benchmark
Exceedanoes) from the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: ?�4n5o>1 Aec000wie5-Cl��ot+sc�vc�}�fxy2t
County. _ I j arne i j
Phone Number: (919 ) 3 8n-` a`14 to Total no. of SDOs monitored
Certified Laboratory &,GeAnnlvliC41 Srzcy;ces Lab #_E3,�
1t ,Eae„
Ll Yl
Lab# 12,. 04,ar1o4-4-
Stormwater Discharge Ouffall (SDO) No. _3 VMA Outfall? Yes ❑ No to
Is this outfall currently in Tier 2 for any parameter? Yes ❑ No
Was this outfall ever in Tier 2 during the past year? Yes ❑ No�
If this outfall was in Tier 2 last year, was monthly monitoring discontinued?
Yes, enough consecutive samples below benchmarks to decrease frequency ❑
Yes, received approval from DEMLR to reduce monitoring frequency ❑
No, turbidity benchmark exceedances did not require monthly monitoring ❑
Other r
Outfall No.
Total
T�r
SS,
Turbidity,
Upstream
(U) Turbidity,
Downstream
(D) Turbidity,
Non -polar
New
Motor Oil
SDp -3
Rainfall,
mgA
mUl
NTU
NTU
NTU
OBG, mgll
Usage
Inches
I VMA)
aUmo.
Stormwafer
Benchmarks
,,,,°
FOWA
B ;� ,k
100150
0.1
6.mhmrk
50/26/10
NIA
gib° try
NIA
""e° ""
16
.w .ye nyWe,
Date Sample
-- —
s .ww.
snna.ra.opru
oao.o
Collected,
mo/ddl r
4D8
-00
w
nd. i5 5
S
-
Al
A W
nt/A
< 5.S
Permit Date 1011/2016 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 QQi Q®
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
[Required by 40 CFR §122.221
Signature
Date _ A i
Mail Annual Summary Stormwater DMR to the NCDEQ Central Office:
Note the address is correct - Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2016 — 9/30/2020
Last Revised 10-2-2015